EDGEWOOD HERMANTOWN I SENIOR LIVING LLC
NPI: 1609050442
· HERMANTOWN, MN 55811
· Assisted Living Facility
· NPI assigned 12/27/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2031 with only 1 total codes billed. Highly concentrated billing profile.
$15.91M
Total Medicaid Paid
Provider Details
| Authorized Official | WHETTER, RON (VP BUDGET AND FINANCE) |
| NPI Enumeration Date | 12/27/2007 |
Related Entities
Other providers sharing the same authorized official: WHETTER, RON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
11,764 |
$1.02M |
| 2019 |
13,266 |
$2.30M |
| 2020 |
9,992 |
$2.44M |
| 2021 |
9,419 |
$2.39M |
| 2022 |
11,398 |
$2.33M |
| 2023 |
15,032 |
$2.82M |
| 2024 |
10,288 |
$2.61M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
81,159 |
6,543 |
$15.91M |